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  • 2023 Conference Themes

    2023 Conference Themes

    Team-Based Care: Making it a reality for all

    text says Team Based Care: Making it a reality for all in white font on a blue streaked background, like hyperspace

     

    The AFHTO 2023 Conference program is built around 4 core themes.

    1. Using a population-based approach to provide care to the community
    2. Optimising teams’ capacity and creating efficiencies
    3. Organizing primary care to advance Ontario Health Teams
    4. Embedding mental health and home care in primary care

     

    ConFERENCE Theme Descriptions

    Download a printable PDF of the theme descriptions here.

     

    1. Using a population-based approach to provide care to the community

    Topics of interest include (but aren’t limited to):

    • Expanding access to teams for unattached patients
    • Partnerships to facilitate population-based health approaches
    • Utilising data to inform population-based planning
    • Collaborative governance / Governance at the OHT level

     

    2. Optimising teams’ capacity and creating efficiencies

    Topics of interest include (but aren’t limited to):

    • Triage in a world of virtual online booking
    • Focus on non-digital methods of integration including back-office integration, common clinical pathways, cross-team collaborations/regional approaches to care
    • Creating operational efficiencies through digital health tools
    • Interprofessional Health Providers and full scope of practice
    • Staff and provider wellness
    • Recruitment and retention

    3. Organizing primary care to advance Ontario Health Teams

    Topics of interest include (but aren’t limited to):

    • Building Primary Care Networks- success case studies
    • Integrating Primary Care Networks with OHTs
    • Jurisdictional review of organized primary care

    4. Embedding mental health and home care in primary care

    Topics of interest include (but aren’t limited to):

    • Increasing access to mental health and addictions support at the population level
    • Supporting Mental Health Promotion & Prevention (including support for Children and Youth)
    • Mental health pathways in Ontario Health Teams
    • Primary Care in the home
    • Increasing collaborations between providers

  • Virtual Care, Digital Health and COVID-19

    Virtual Care, Digital Health and COVID-19

    Originally posted Mar. 17, 2020. Last updated July 7, 2023

    Shift to Virtual Care - Primary Care Response to COVID-19 Pandemic Document

    On Thursday, March 19 Ontario’s Chief Medical Officer of Health issued a memo Re: Managing Health Worker Illness and Return to Work COVID-19. In the document he makes recommendations related to travel and return to work for health care providers. He also notes:
     
    While other services are decreasing their operations, in health care you are being called upon to care for patients and to be ready for surge. I am asking, where there may be an opportunity, for all health system employers to facilitate work arrangements that enable appropriate employees to work from home or to work virtually, if not re-deployable.
     
    Health system employers should also consider a review of their services and practices to identify how they can provide services to patient groups virtually or remotely.
     
    These are uncertain times, but the recommendation is to try to accommodate care for patients virtually as much as possible. Below are resources to assist teams. These will be updated as they become available.

    We are collecting stories from our members on they have shifted to virtual care in response to COVID-19. Summary of findings and a resource table can be found here: Shift to Virtual Care-Primary care response to COVID-19. We will continue to update this document so if you would like share any stories please email: improve@afhto.ca.

     

    Virtual Care & Digital Health

    Guidance Documents
    Virtual Care Platforms, Supports & Fact Sheets for Teams

    For EMR Screening Tools and Toolbars, see the Infection Control Resources And Tools page. 

    Consent for Electronic Communication
    Policies

    For IT resources while clinics transition to virtual care during COVID-19, refer to Management And Operations, Human Resources And COVID-19

    Documents for Patients

    To capture the patient experience with virtual care please refer to the Primary Care Patient/Client Virtual Care Experience Survey. 

    Webinars and Recordings
    Special Offers to Teams

     

    Some resources have restricted access: * Members-only resources, ** Triad-only resources

    Return to: Novel Coronavirus (COVID-19) Updates

    Disclaimer: The information in this resource centre represents general guidance developed by AFHTO and their partners, gathered through a rapid, non-systematic scan of relevant and valuable guidelines with an intent to support you in a timely fashion. The information reflects best knowledge at the time of writing and is subject to revision based on rapidly changing circumstances and conditions. As new best practice evidence emerges, recommendations may evolve. The resources above should be considered supplementary guidance and are not meant to replace clinical judgement or organizational directives.

  • QI in Action eBulletin #129: Celiac Disease Awareness Month

    In this Issue:

    • Celiac Disease in Ontario
    • Celiac Canada Webinars
    • Celiac Resources
    • Food for thought
    • Past Webinars
    • Upcoming Events

    Celiac Disease in Ontario

    May is Celiac Disease Awareness month and we join Celiac Canada in helping to bring this initiative to the attention of team-based Primary Care. The Ontario Ministry of Health has announced it is extending a pilot program for free celiac disease diagnostic testing through community based labs. This extension is active until March 31, 2024 and includes first time diagnostic blood tests (IgA and tTg IgA) for patients. The Minister of Health has recently informed Celiac Canada that these tests will become permanently covered by OHIP following the pilot’s completion. 

    Celiac Canada aims to raise the index of suspicion with physicians as it takes an average of 10 years from symptom onset to celiac diagnosis for Canadian patients. The majority of patients with celiac disease remain undiagnosed.

    Celiac Canada Webinars 

    Celiac Resources

    Food for Thought

    Ontario has been the ONLY province in the country not to cover the blood screening test for CD.
    This is despite the tests being part of standard clinical practice around the world. Ontario patients have had to pay anywhere from $60-$150 for the test. For many families, this cost is unaffordable. Since celiac testing is not on the standard lab requisition form, it is often missed by doctors in their health screening.  This cost also impacts the ongoing disease management for currently diagnosed celiac disease patients who are required to monitor their bloodwork on an ongoing basis.

    New free celiac blood tests could benefit 128,000 Ontarians and save $1 billion
    News Provided by
    Celiac Canada 
    Mar 30, 2023, 11:00 ET

    The provincial government’s decision to make simple but crucial blood tests for celiac disease available at no cost to patients will improve the quality of life for as many as 128,000 Ontarians and potentially save Ontario’s health care system as much as $1 billion1, Celiac Canada said today.

    Past Webinars

    PHO Rounds: Health Conditions Attributable to Smoking and Alcohol by Public Health Unit in Ontario

    Every year in Ontario, smoking and alcohol consumption are responsible for thousands of deaths, hospitalizations, and emergency department visits. A new report by Ontario Health and Public Health Ontario provides estimates of the prevalence of smoking and alcohol use in the province and includes detailed estimates of the number of harms caused by smoking and alcohol consumption. The report also provides estimates of the number of cancer, cardiovascular, diabetes, respiratory, communicable disease, neuropsychiatric, and injury harms. These are provided for all of Ontario and for each public health unit.

    Upcoming Events

    Check out some of the coming events

    OHT Engagement Learning Series – Session 6 of 7: Engagement Methods

    • May 16, 2023 11:30 am – 01:00 pm

    This series focuses on building connections and competencies for meaningful patient engagement. This session will be the 6th of a 7-part engagement learning series. In this session, you will get to experience various co-design strategies and use of different virtual platforms. Learn how to co-design in a way that avoids tokenism. Eliminate barriers to engagement, and tailor engagement methods to different individuals and groups.

    PHO Rounds: The 2023 Ontario HIV Testing Guidelines

    • Tuesday, May 23, 2023 | 12:00 pm to 1:00 pm

    Intended audience: Public health physicians, nurses, nurse practitioners, STBBI case managers, supervisors, Medical Officers of Health overseeing public health units, front-line physicians, nurses, nurse practitioners in public health sexual health clinics

    By the end of this session, participants will be able to:

    • Identify population groups that should be tested for HIV according to the new Ontario HIV testing guidelines
    • Describe scenarios and conditions where it is appropriate to test (and retest) people for HIV; and
    • List additional HIV prevention interventions and when to recommend them.

     

    In Case You Missed It: Check out eBulletin #128 or other back issues here!
    Questions? Comments? Contact us at improve@afhto.ca.

     

  • Ottawa Valley FHT partners with Carleton Place in the creation of a new health centre

    CBC news published an article Apr 29, 2023

    By Ben Andrews

    At first, Peter Hamer thought the empty lot in Carleton Place, Ont., was destined to become a standard medical clinic.

    With an estimated 4,000 residents in the area without a family doctor, the project would help address a need.

    But as work progressed, Hamer began to see the outline of “something much more interesting.”

    “Instead of just bringing doctors in one building, we also want to bring other health service providers,” said Hamer, the executive director of the Ottawa Valley Family Health Team.

    “All the ancillary health service providers that are in the geographic area under one roof.”

    The idea to bring a team of health-care workers — including doctors, nurses, dietitians, mental health workers and others — together in a single health centre located about 50 kilometres southwest of downtown Ottawa may be “paving a new approach” for rural health care, he said.

    The Ontario College of Family Physicians estimates more than 2 million Ontarians are without a family doctor, and those shortages are felt more acutely in rural and remote parts of the province.

    That competitive market is pitting municipalities in Ontario against each other in creative attempts to lure family doctors.

    Many small towns are sweetening the pot for prospective physicians by offering direct cash incentives in exchange for a commitment to practise in the community.

    But cash alone doesn’t guarantee a desirable work environment, and Hamer said the goal in Carleton Place is to create a different competitive model.

    “It’s about the environment,” he said. “If you can offset the costs associated with that, then it’s a really easy sell.”

    The sale

    Carleton Place Mayor Toby Randell said the town’s relatively limited budget pushed it to “think outside the box.”

    The health centre is the product of a partnership between Carleton Place, the nearby Township of Beckwith, the developer MNH Group and the Ottawa Valley Family Health Team, a group of family physicians who practise in the area.

    Set to open in fall 2024, the health centre is currently under construction at the end of Costello Drive on a plot of land that had been set aside for a new hospital until provincial funding dried up.

    Click here for full article

  • Bits & Pieces: #AFHTO2023 call for abstracts and more

    Bits & Pieces: #AFHTO2023 call for abstracts and more

    Your Weekly News & Updates

    In This Issue  
    • AFHTO 2023 Conference: call for abstracts
    • Reminder- CPS: Beyond the Monograph webinar tomorrow April 26
    • Choosing Wisely Canada’s National Meeting: 50% OFF for Members
    • Doctors’ Day is May 1
    • Happy Health Administration Day April 26
    • PhD Dissertation: The Micropsychosocial effect of Accounting: A Health Care Context
    • Upcoming events including How peer counsellors can extend interprofessional teams and enhance care and more

     

    text says Team Based Care: Making it a reality for all in white font on a blue streaked background, like hyperspace

    AFHTO 2023 Conference: call for abstracts

    It’s time to highlight primary care. We’ll be selecting sessions and posters for our 4 core themes and we want to hear from you. This is YOUR opportunity to showcase the great work being done in your team, to share innovative approaches occurring in primary care, and to highlight initiatives that are making an impact on your communities’ health needs. Your submissions allow us to recognize the high-quality care each of you provide as we strive to make team-based care a reality for all.

    Find out more here.

    And don’t forget, the deadline to join a working group and/or Bright Lights review committee is next Tuesday, May 2. Come behind the scenes of our hybrid conference and be the first to learn about new developments in the field, influence conference programming, and discover the latest innovators in areas directly relevant to your work. Working group members also receive a discount off their registration fee. Deadline May 2.

    CPS: Beyond the Monograph webinar April 26

    Reminder – CPS: Beyond the Monograph webinar April 26

    In February we sent an email to EDs and Admin Leads titled “Introducing our new benefit- discount on CPS Full Access” (triad access only). It gives a 40% discount to members for CPS Full Access. For those who’d like a demonstration, Canadian Pharmacists Association is hosting a webinar on April 26, 12:30 pm. Register here.

    They have also extended their free trial until May 1, 2023 for those who’d like a more hands-on approach.

     

     

     

    Choosing Wisely Canada’s National Meeting: 50% OFF for Members

    Registration is open for Choosing Wisely Canada’s National Meeting on May 11 and 12 in Toronto at the Globe and Mail Centre. Join the two-day event to engage with the Choosing Wisely community in an energized exchange of ideas on overuse. Choosing Wisely Canada is currently offering 50% off 10 tickets to AFHTO members. To register and use this offer, please use the promocode AFHTO_CWC_50.  This offer is available on a first-come-first-serve basis while tickets remain available.

    Join keynote session available in-person or via livestream:

    • Overuse and Health Care Equity on May 11 at 9 AM ET
    • The State of Overuse in Canada on May 12 at 9 AM ET
    • Choosing Wisely and the Climate Crisis on May 12 at 2:30 PM ET

    Discuss and network in smaller breakout sessions on topics including:
    Quality Improvement and Data Analytics | Reducing Overuse and Our Carbon Footprint | Preventing Burnout | Choosing Wisely in the Emergency Department | Using Blood Wisely | Appropriate Prescribing | Reducing Overuse in Hospitals | Patient and Public Engagement | Policy as a Tool to Reduce Overuse | Choosing Wisely in Pediatrics | Antibiotic Stewardship | & More

    Earn credits- This one-credit-per-hour Group Learning program meets the certification criteria of the College of Family Physicians of Canada and has been certified by the University of Ottawa’s Office of Continuing Professional Development for up to 9.00 Mainpro+ credits.

    Check out the agenda to see the in-person and livestream options available.

    Register now: https://choosingwiselycanada.org/cwc-2023/#registration

    Doctors’ Day is May 1

    Monday, May 1, the Ontario Medical Association (OMA) and health care organizations across the province will be recognizing contributions made by Ontario’s doctors. Ontarians can say thank you by picking a flag here.

    You can also join the conversation with hashtag #DoctorsDay.

    A special thank you to all the family doctors working with our teams for the great care you provide to your patients and your communities every day.

    Happy Health Administration Day April 26

    For all the bookings, checking patients in and making things just run better- we know it’s like herding cats, but we literally wouldn’t be able to do it without you.

    Happy Health Administration Day tomorrow!

    PhD Dissertation: The Micropsychosocial effect of Accounting: A Health Care Context

    Physicians are invited to participate in the dissertation of Dr. Makini McGuire-Brown. This anonymous online survey explores policy and physician patient-related decision making through 10 medical cases featuring common medical illnesses. It does not directly test clinical knowledge and will take less than 30 minutes. Physicians from across Canada may participate to contribute to the gathering of academic knowledge about how policies affect work! This can help more conscientious accounting and policy decisions to be made. You may direct any questions to makinidm@yorku.ca. This study has been approved by the REB of York University (STU 2022-134).

    Survey link: https://us.psytoolkit.org/c/3.4.4/survey?s=7szDB.

    How can peer counsellors extend interprofessional teams and enhance care? Apr. 28, 2023
    Part of the DFCM New Horizons Speaker Series, join a virtual fireside chat on incorporating peer counsellors into interprofessional care teams to enhance care. Register here.

    Mental Health Week, May 1-7, 2023
    CMHA toolkit will be available here

    Eating Disorders Quality Standard Webinar, May 5, 2023
    This session will introduce Ontario Health’s recently released Eating Disorders quality standard and describe how it can drive quality improvement and improve care for Ontarians across the health system. Register here.

    The roadmap to eliminating hepatitis C in Ontario, May 10, 2023
    This webinar will share an overview of the roadmap, including key priorities and strategies for how we can carry out its recommendations in Ontario. Register here.

    2023 University of Toronto DFCM Conference, May 11-12, 2023
    This year’s theme is “DFCM: Strengthening health systems through academic excellence, connection and collaboration.” Find out more.

    Collaborating Across Borders Conference, May 16-18, 2023
    Hosted by UHN, University of Toronto, and Cache. Find out more.

  • AFHTO 2023 Conference: call for abstracts

    AFHTO 2023 Conference: call for abstracts

    text says Team Based Care: Making it a reality for all in white font on a blue streaked background, like hyperspace

    It’s time to highlight primary care.

    Present your ideas and initiatives at the AFHTO 2023 Conference:
           
    Team-Based Care: Making it a reality for all

    We’ll be selecting sessions and posters for our 4 core themes and we want to hear from you. This is YOUR opportunity to showcase the great work being done in your team, to share innovative approaches occurring in primary care, and to highlight initiatives that are making an impact on your communities’ health needs. Your submissions allow us to recognize the high-quality care each of you provide as we strive to make team-based care a reality for all.

    What do we mean? Dive deeper into our conference theme.

    The deadline to submit for an #AFHTO2023 presentation is
    May 24, 2023, at 5:00 PM (EDT)

    Review submission guidelines

    Submit online

    Reduced registration fee for concurrent session presenters: For each approved concurrent session, up to 2 presenters will each be granted a $40 discount off the conference registration fee. Additional discounts apply for patients presenting at the conference. (Discount doesn’t apply for poster displays.)

    This is a hybrid conference. This means it will be a mix of in-person sessions (some streamed live) and on-demand. For this conference, we welcome speaker suggestions.

     

    Conference key dates:*

    • April 25, 2023- Call for abstracts
    • May 24, 2023– Deadline for abstracts
    • June 15, 2023 – Bright Lights nominations
    • July 2023- Conference registration opens
    • October 3, 2023 – Early bird registration deadline
    • October 25, 2023– AFHTO 2023 Conference

    Do you know anyone with interesting and innovative initiatives to share? Please forward this email to your colleagues, community partners and stakeholders to make sure everyone has an opportunity to present their initiatives.

    And don’t forget, the deadline to join a working group and/or Bright Lights review committee is next Tuesday, May 2. Come behind the scenes and be the first to learn about new developments in the field, influence conference programming and discover the latest innovators in areas directly relevant to your work. Working group members also receive a discount off their registration fee.

    For more information, you can contact us by phone (647-234-8605 x1200) or e-mail (info@afhto.ca).

  • Bits & Pieces: create AFHTO 2023 Conference and more

    Bits & Pieces: create AFHTO 2023 Conference and more

    Your Weekly News & Updates

    In This Issue  
    • AFHTO 2023 Conference: create YOUR hybrid conference. Sign up by May 2
    • Welcome to Connor Kemp
    • CPS: Beyond the Monograph webinar April 26
    • Compensation market survey walkthrough video
    • Member stories
    • Relevant news and reports – OHT updates and more
    • Upcoming events including Autistic people and the COVID-19 pandemic – what have we learned so far, and more

     

    text says Team Based Care: Making it a reality for all in white font on a blue streaked background, like hyperspace

    AFHTO 2023 Conference: create YOUR hybrid conference. Sign up by May 2

    Come behind the scenes of our hybrid conference and be the first to learn about new developments in the field, influence conference programming, and discover the latest innovators in areas directly relevant to your work. Working group members also receive a discount off their registration fee. Deadline May 2.

     

    Welcome to Connor Kemp

    Connor is wearing a light polka dotted shirt with brown tie, belt and grey pants. he has his hands in his pockets as he leans forward a little smiling.

    We’re happy to introduce Connor Kemp, our new Project Manager and KTE Specialist.

    Connor began his professional career in the hospital sector at PRHC in decision support. His desire to work in primary care landed him in a QIDSS position in the Kingston area. He has been engaged in several primary care research initiatives, including a clinic efficiency and burnout pilot project.

    Connor’s interest in primary care research led him to pursue an adjunct position with Queen’s University, where he has spent the past year supervising students in a primary care placement. He is also collaborating with colleagues to design experiments for testing biometric wearables to aid the decision-making process for primary care providers. He wishes to expand this data-driven decision-making research in PC. Connor has a background in mechanical/materials engineering and spent much of his graduate time at McGill developing automated screening processes for biomaterials.

    Welcome, Connor to the team!

    CPS: Beyond the Monograph webinar April 26

     

    CPS: Beyond the Monograph webinar April 26

    In February we sent an email to EDs and Admin Leads titled “Introducing our new benefit- discount on CPS Full Access” (triad access only). It gives a 40% discount to members for CPS Full Access. For those who’d like a demonstration, Canadian Pharmacists Association is hosting a webinar on April 26, 12:30 pm. Register here.

    They have also extended their free trial until May 1, 2023 for those who’d like a more hands-on approach.

     

     

    Compensation market survey walkthrough video

    On Friday, April 14, the Alliance hosted the Ontario Community Health Market Review walkthrough. The video is now available. The survey package itself was sent to EDs, Admin Leads and designated representatives of AFHTO member teams on April 4. The deadline to submit the survey to Eckler has been revised to April 27 to allow closer to two weeks after the walkthrough for survey completion. If you haven’t received the email, please contact us. For inquiries regarding the survey itself, please contact Tiffney Hill at thill@eckler.ca.

    Member stories

    Bruyère Academic FHT – pilot project cuts opioid use among patients with chronic pain

    Credit Valley FHT – Minister Marci Ien highlights Budget 2023 investments to strengthen public health care

    Inner City FHT – Inner City FHT to develop substance use hub for people experiencing homelessness

    Sunset Country FHT – Northwestern Health Unit report recommends safe consumption services in 4 Ontario communities

    Relevant news and reports – OHT updates and more

    ONCA Compliance Webinar, Apr. 20, 2023
    Hosted by Mills & Mills LLP, this free webinar will address steps organizations can take and what to be mindful of as we approach the Oct 2024 deadline. Register here.

    Autistic people and the COVID-19 pandemic – what have we learned so far? Apr. 27, 2023
    Hosted by CAMH. Register here.

    How can peer counsellors extend interprofessional teams and enhance care? Apr. 28, 2023
    Part of the DFCM New Horizons Speaker Series, join a virtual fireside chat on incorporating peer counsellors into interprofessional care teams to enhance care. Register here.

    Eating Disorders Quality Standard Webinar, May 5, 2023
    This session will introduce Ontario Health’s recently released Eating Disorders quality standard and describe how it can drive quality improvement and improve care for Ontarians across the health system. Register here.

    Collaborative Health Governance Program, June 14-17, 2023
    Offered by the McMaster Health Leadership Academy. Find out more.

  • AFHTO 2023 Conference: create YOUR hybrid conference. Sign up by May 2

    AFHTO 2023 Conference: create YOUR hybrid conference. Sign up by May 2

    text says Team Based Care: Making it a reality for all in white font on a blue streaked background, like hyperspace

    Join a working group

    You can have an impact by joining a working group today. Come behind the scenes of our hybrid conference and be the first to learn about new developments in the field, influence conference programming, and discover the latest innovators in areas directly relevant to your work. Working group members also receive a discount off their registration fee.  

    Please extend this invitation to your patients, colleagues, and staff. Having diverse voices in the working groups, especially among patients, helps us build a varied and relevant program.

    Conference Themes

    We’re setting up working groups for concurrent sessions, posters, and the Bright Lights Awards program. For this conference, we welcome speaker suggestions. The four conference themes will focus on:

    1. Using a population-based approach to provide care to the community
    2. Optimising teams’ capacity and creating efficiencies
    3. Organizing primary care to advance Ontario Health Teams
    4. Embedding mental health and home care in primary care

    (Full list of sub-topics here)

    Working Group Details

    Concurrent program working group members:
    The task requires a total of 4-10 hours of effort in May and June, specifically:

    • April 25 to May 24: AFHTO staff will manage the call for proposals process.
    • Week of May 15: working groups will have an initial Zoom session to brainstorm ideas on specific topics. Brainstorming on speakers to contact/encourage to submit a presentation abstract will also occur this week. 
    • May 26 to June 9: each working group member will individually review and score abstracts for their program.
    • June 13 to 16: working groups will meet via Zoom to review scores and determine the program for this theme.

    Sign up by May 2, 2023, to confirm your participation and select your preferred conference theme.

    Bright Lights logo

    “Bright Light” Awards Review Committee:
    The task requires a total of 6-12 hours in July and August, to individually review and score nominations. The review and scoring will be followed by a Zoom meeting to determine the award winners. Sign up by May 2, 2023

    We may also need volunteers onsite during the conference itself. There may be other duties as we update our conference program. Onsite volunteers will also receive discounted conference registration. Sign up today.

    Registration Fees for Conference Working Groups:

    • Conference working group members and presenters receive a $40 discount off their registration fee
    • We understand patients face additional financial and time pressures and do not want the registration fee to limit patient participation in a working group. Patients participating in full in a conference working group will be eligible for complimentary registration (to be determined once the working group task is complete).   

    AFHTO members still receive a significant discount on conference registration fees.

    Conference key dates:*

    • April 25, 2023- Call for abstracts
    • May 24, 2023– Deadline for abstracts
    • June 15, 2023 – Bright Lights nominations
    • July 2023- Conference registration opens
    • October 25, 2023– AFHTO 2023 Conference

    *All dates subject to change, except the conference dates.

    To our sponsors, the sponsorship prospectus is coming soon. For more information, you can contact us by phone (647-234-8605) or e-mail (info@afhto.ca).

  • Inner City FHT to Develop Substance Use Hub for People Experiencing Homelessness

    Government of Canada Announced Apr 2023

    Inner City Family Health Team – Toronto, ON 

    Substance Use Hub for People Experiencing Homelessness  

    $992,114 over 24 Months to develop a substance use hub for people experiencing homelessness. The Substance Use Hub will be a comprehensive substance use care program specifically targeting individuals who are living in shelters, encampments, and other homeless settings by providing them with a flexible drop-in style clinic for those with opioid, stimulant and alcohol use needs. Through this comprehensive substance use care model, patients will have access to life-saving drugs, peer support and a team of trained physicians, nurses, and support staff. This project will include participation from people with lived and living experience with substance use to further project development, data collection and evaluation. This project is a collaboration between the Inner-City Family Health Team (ICFHT) and Inner City Health Associates (ICHA) in Toronto Ontario.